Civic Intelligence

Advanced Home Care Inc.

990 • Fiscal year 2015 • EIN 56-1844651

Oct 01, 2014 to Sep 30, 2015 • Filed on Feb 24, 2016

PO Box 18049Greensboro, NC 27419-8049

(336) 294-8822

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

48th percentile

0.31x

Higher debt load relative to assets than 48% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Liabilities / Revenue

30th percentile

0.28x

Higher debt load relative to revenue than 30% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Net Margin

57th percentile

6.6%

Higher net margin than 57% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Top Officer Pay

64th percentile

$639,970

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

78th percentile

8.9%

Faster asset growth than 78% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Revenue Growth

65th percentile

8.0%

Faster revenue growth than 65% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Assets

Up

$125,424,724

Up $10,226,821 (+8.9%) from 2014

Net Assets

Up

$87,148,262

Up $8,970,871 (+11%) from 2014

Liabilities

Up

$38,276,462

Up $1,255,950 (+3.4%) from 2014

Revenue

Up

$135,050,396

Up $10,027,179 (+8.0%) from 2014

Expenses

Up

$126,079,525

Up $9,537,097 (+8.2%) from 2014

Net Income

Up

$8,970,871

Up $490,082 (+5.8%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $94,020,453Liabilities 2010: $20,079,446Net Assets 2010: $73,941,0072010Assets 2011: $91,883,735Liabilities 2011: $20,599,512Net Assets 2011: $71,284,2232011Assets 2014: $115,197,903Liabilities 2014: $37,020,512Net Assets 2014: $78,177,3912014Assets 2015: $125,424,724Liabilities 2015: $38,276,462Net Assets 2015: $87,148,2622015Assets 2016: $131,701,526Liabilities 2016: $35,028,893Net Assets 2016: $96,672,6332016Assets 2017: $133,625,993Liabilities 2017: $35,267,043Net Assets 2017: $98,358,9502017Assets 2018: $141,338,142Liabilities 2018: $36,008,242Net Assets 2018: $105,329,9002018Assets 2019: $141,334,825Liabilities 2019: $32,520,394Net Assets 2019: $108,814,4312019Assets 2020: $54,318,875Liabilities 2020: $34,218,319Net Assets 2020: $20,100,5562020Assets 2022: $35,606,965Liabilities 2022: $17,087,414Net Assets 2022: $18,519,5512022Assets 2024: $33,914,075Liabilities 2024: $0Net Assets 2024: $33,914,0752024

Highlighted filing

2015

Assets$125,424,724
Liabilities$38,276,462
Net Assets$87,148,262

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $102,262,8002010Expenses 2011: $106,260,0542011Revenue 2014: $125,023,217Expenses 2014: $116,542,428Net Income 2014: $8,480,7892014Revenue 2015: $135,050,396Expenses 2015: $126,079,525Net Income 2015: $8,970,8712015Revenue 2016: $133,874,385Expenses 2016: $129,383,410Net Income 2016: $4,490,9752016Revenue 2017: $134,962,317Expenses 2017: $129,564,442Net Income 2017: $5,397,8752017Revenue 2018: $133,599,755Expenses 2018: $125,372,160Net Income 2018: $8,227,5952018Revenue 2019: $137,235,868Expenses 2019: $129,922,533Net Income 2019: $7,313,3352019Revenue 2020: $110,590,000Expenses 2020: $64,769,454Net Income 2020: $45,820,5462020Revenue 2022: $1,250,119Expenses 2022: $1,496,262Net Income 2022: -$246,1432022Revenue 2024: $7,155,513Expenses 2024: $724,459Net Income 2024: $6,431,0542024

Highlighted filing

2015

Revenue$135,050,396
Expenses$126,079,525
Net Income$8,970,871
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Feb 24, 2016
Return Version
2014v6.0
Gross Receipts
$172,542,044
Mission and Program Overview

Mission

Advance home care exists to make a positive difference in the lives of patients by providing compassionate, high-quality, home health care with dedicated, caring, and highly skilled staff.

Home health care services to the community

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$34,569,029$35,547,950▲ $978,921
Intangible Assets$35,971,556$35,137,089▼ $834,467
Cash and Non-Interest-Bearing Accounts$15,454,119$23,681,950▲ $8,227,831
Accounts Receivable$19,646,970$20,535,654▲ $888,684
Inventories for Sale or Use$4,111,584$4,397,535▲ $285,951
Investments in Publicly Traded Securities$4,000,502$4,304,784▲ $304,282
Prepaid Expenses and Deferred Charges$1,331,250$1,643,864▲ $312,614
Investments Other Securities$36,000$36,000→ $0
Total Assets$115,197,903$125,424,724▲ $10,226,821
Other Assets Total$76,893$139,898▲ $63,005
Liabilities
Accounts Payable and Accrued Expenses$13,309,191$13,487,984▲ $178,793
Other Liabilities$9,241,933$10,181,364▲ $939,431
Mortgage Notes Payable Secured by Investment Property$7,884,800$7,419,648▼ $465,152
Deferred Revenue$6,584,588$7,187,466▲ $602,878
Total Liabilities$37,020,512$38,276,462▲ $1,255,950
Net Assets / Fund Balance
Unrestricted Net Assets$78,177,391$87,148,262▲ $8,970,871
Total Net Assets Fund Balance$78,177,391$87,148,262▲ $8,970,871
Total Liabilities and Net Assets / Fund Balance$115,197,903$125,424,724▲ $10,226,821

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$14,068,547$25,383,242$39,451,789
Equipment$5,238,389$22,558,978$27,797,367
Buildings$12,076,023$1,218,681$13,294,704
Leasehold Improvements$2,298,991$4,795,380$7,094,371
Land$1,866,000-$1,866,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joel MillsCEO/presidentFT$366,273$273,697$639,970
James HoganCFO/treasurerFT$187,039$102,541$289,580
Maria C ThurlowChief Cultural OfficerFT$216,789$66,947$283,736
Ralph E McbrideVP Support ServicesFT$176,136$91,796$267,932
Janice E WilhelmVP InfusionFT$174,273$82,371$256,644
T Allen HelmsChief Information OfficerFT$145,557$66,218$211,775
Pamela BegovichCOOFT$161,796$46,919$208,715
Sue PayneVP Home HealthFT$148,178$58,836$207,014
Kristen YntemaVP Regional Development & InnovationFT$141,362$53,673$195,035
Amy Kristen WoodPharmacy ManagerFT$173,696$7,742$181,438
Matthew V FrohnaSenior Director SprFT$134,919$33,330$168,249
Scott LloydVP HmeFT$133,967$33,536$167,503
William GrobenDirector of InfusionFT$132,881$30,617$163,498
Christopher WilsonSr Director Talent Support & EngagementFT$137,341$5,562$142,903
James OsborneMedical Director/nv Board Member-$2,835-$2,835

Highest Paid Contractors

ContractorServicesLocationCompensation
Cornerstone Therapy ServicesOutside Contract Home Health ServicesPO BOX 489, Pennington Gap, VA 24277$1,370,683
InsigniamConsulting Firm-culture & Mngmt Developm301 WOODBINE AVENUE, Narverth, PA 19072$632,780
Supplemental Health CareOutside Contract Home Health Services1640 W REDSTONE CENTER DRIVE SUITE, Park City, UT 84098$571,792
Coremedical GroupOutside Contract Home Health Services2 KEEWAYDIN DRIVE, Salem, NH 03079$494,677
Dh Griffin Construction CompanyConstruction600 GREEN VALLEY ROAD SUITE 301, Greensboro, NC 27408$133,959
Revenue and Support

Revenue Composition

Contributions and Grants
$97,184
Program Service Revenue
$58,600,265
Investment Income
$57,529
Other Revenue
$76,295,418
All Other Contributions
$2,246
Change in Net Assets
$8,970,871

Audited Revenue Reconciliation

Revenue per Audited Statements
$136,313,128
Revenue Not Reported on Financial Statements
$-1,262,732
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$-1,262,732
Total Revenue per Audited Statements
$136,313,128
Total Revenue per Form 990
$135,050,396
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$98,654,133
Other Expenses$27,318,291
Grants and Similar Amounts Paid$107,101
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$69,797,114$9,812,877-$79,609,991
Other Employee Benefits$9,323,404$1,855,405-$11,178,809
Payroll Taxes$5,058,225$747,784-$5,806,009
Depreciation Depletion$3,302,459$1,510,359-$4,812,818
Fees for Services Other$3,377,421$1,026,305-$4,403,726
Information Technology$3,185,022$259-$3,185,281
Occupancy$2,207,344$225,889-$2,433,233
Pension Plan Contributions$1,125,880$189,355-$1,315,235
Current Officers, Directors, Trustees, and Key Employees-$744,089-$744,089
Fees for Services Management-$631,677-$631,677
Office Expenses$299,461$271,527-$570,988
Insurance$3,482$376,225-$379,707
Travel$294,991$73,538-$368,529
All Other Expenses$127,396$217,822-$345,218
Interest-$268,553-$268,553
Conferences and Meetings$49,523$136,845-$186,368
Other Expenses$726,416$151,987-$151,987
Fees for Services Accounting-$98,638-$98,638
Grants to Domestic Orgs$95,956--$95,956
Fees for Services Legal-$33,019-$33,019
Grants to Domestic Individuals$11,145--$11,145
Total Functional Expenses$107,474,252$18,605,273$0$126,079,525

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$127,342,257
Total Expenses per Form 990$126,079,525
Expenses per Audited Statements$126,003,325
Expenses Not Reported on Form 990$1,338,932
Expenses Not Reported on Financial Statements$76,200
Other Expense Adjustments$76,200
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
High Point Regional Health System Foundation - Pink Ribbon Mammography FundHigh Point, NC501(c)(3)General Support$25,400
Medcen Foundation Inc - Pine Pointe HospiceMacon, GA501(c)(3)General Support$25,400
Wellmont FoundationKingsport, TN501(c)(3)General Support$25,400
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$14,921
Fundraising Gross Income$5,898
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Charity Golf Tournament$95,905$5,898$7,138$-1,240
Total Events$95,905$5,898$14,921$-9,023
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Current Liabilities$4,876,786
Deferred Compensation$4,178,156
Excess Loss in Investees, Net$1,126,422
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1

The executive committee of the board of directors shall be composed of directors appointed by members whose membership interest is equal to or greater than 5%. Each member whose membership is equal to or greater than 5% may appoint one of the two directors that such member appoints to serve on the board of directors to also serve on the executive committee of the board of directors. No member shall be entitled to appoint more than one director to serve on the executive committee of the board of directors. The executive committee shall have and may exercise the authority of the board in the management of the business and affairs of the corporation during intervals between meetings.

Form 990, Part VI, Section A, Line 6

The company currently has twelve members including moses h cone memorial hospital, high point regional health services, inc., novant health, inc., mission hospitals, inc., vidant health, carepartners health services, caromont health services, inc., wellmont health system, morehead memorial hospital, inc., wakemed, wellstar health system, and navicent health.

Form 990, Part VI, Section A, Line 7A

One director shall be an employee of advanced home care, inc. The remaining directors shall be voting directors and shall be appointed by the members such that each member shall appoint two voting directors. An appointed director may be removed from office at any time with or without cause by the member that appointed that director to office. If a director is removed, a new director may be appointed by the appropriat member to fill the vacancy at the same time as the removal.

Form 990, Part VI, Section A, Line 7B

Decisions of the board of directors are subject to the approval of the member body.

Form 990, Part VI, Section B, Line 11

The return was prepared by an independent accounting firm with information provided by management. Following management review, the return was submitted to all board members for review and was discussed as an agenda item at a board meeting.

Form 990, Part VI, Section B, Line 12C

As part of its annual reivew and confirmation process, advanced home care requires any employee holding a position at the director level or above (including officers and board members) to sign an annual statement confirming his or her knowledge and understanding of, and compliance with, its conflict of interest policy.

Form 990, Part VI, Section B, Line 15

A compensation committee is comprised of three board members that represent the largest ownership of advanced home care. The committee is responsible for reviewing and approving the compensation program for all senior managers. The committee uses an outside consulting service, findley davies, to provide survey data to determine appropriate pay ranges. The process is completed every two years.

Form 990, Part VI, Section C, Line 19

Documents required to be open to the public are available upon request.

Form 990, Part VII, Section A, Column F

The company, in a full transparency posture to reporting, is reporting all benefits in full in column f, part vii and is not applying the $10,000 per item exception for certain benefits.

Filing and Contact Details

Filer

Filer Name
Advanced Home Care Inc
EIN
56-1844651
Phone
3362948822
Address
PO BOX 18049, GREENSBORO, NC 27419-8049

Signing Officer

Name
James Hogan
Title
CFO/treasurer
Phone
3362948822
Signed
2016-02-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Hogan
Formed
1993
Legal Domicile
Nc
Voting Board Members
25
Independent Board Members
24
Employees
2,014
Volunteers
24

Preparer

Firm
Rsm US Llp
Address
230 N ELM ST STE 1100, GREENSBORO, NC 27401
Preparer
Adrienne Mckinney
Phone
3362724551
Supplemental Narrative

Additional Explanations

FORM 990. PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:

Uncompensated care: total charity care: $ 7,634,758 bad debts times cost/charge ratio $ 4,007,446 non-reimbursed cost of treating medicare and medicaid patients $ 3,035,038 non-reimbursed cost of treating managed care patients $ 11,609,517 cash donations $ 19,756 subsidized community services $ 192,622 employee donations to community organizations through company sponsored events $ 90,715 total community benefit $ 26,589,851

FORM 990, PART XII, LINE 2C:

The company has a committee that reviews the selection of the independent auditor. There have been no changes in the selection process since the prior year.

Financial Statement Notes

PART X, LINE 2:

The company is a not-for-profit organization exempt from federal and state income taxes under section 501(c)(3) of the internal revenue code. Management has evaluated the company's tax positions and concluded that the company has taken no uncertain tax positions that require adjustment to the financial statements.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Ubi expenses -1,338,932. Charity golf tournament 76,200.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

UBI EXEPNSE 1,338,932.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Grants from charity golf tournament 76,200.

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IRS990/Desc0ADVANCED HOME CARE PROVIDED 544,000 VISITS TO PATIENTS IN THEIR HOMES CONSISTING OF SKILLED NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL WORK, AND HOME HEALTH AIDS. THESE VISITS TOOK PLACE IN 13 HOME HEALTH BRANCHES LOCATED IN 3 STATES (NC, VA, AND TN).
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IRS990/Form990PartVIISectionAGrp/TitleTxt8MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9MEDICAL DIRECTOR/NV BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10CEO/PRESIDENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt20MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt21MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt22CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt23MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt24SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt25VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt26CFO/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP SUPPORT SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt28CHIEF CULTURAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt29VP INFUSION
IRS990/Form990PartVIISectionAGrp/TitleTxt30COO
IRS990/Form990PartVIISectionAGrp/TitleTxt31VP HOME HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt32CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt33VP REGIONAL DEVELOPMENT & INNOVATION
IRS990/Form990PartVIISectionAGrp/TitleTxt34PHARMACY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt35SENIOR DIRECTOR SPR
IRS990/Form990PartVIISectionAGrp/TitleTxt36VP HME
IRS990/Form990PartVIISectionAGrp/TitleTxt37DIRECTOR OF INFUSION
IRS990/Form990PartVIISectionAGrp/TitleTxt38SR DIRECTOR TALENT SUPPORT & ENGAGEMENT

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